CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Paradise Valley Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $76
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Paradise Valley Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)
Cash / Self-Pay: $75 (124%)
Insurance Median: $76 (126%)
Cash: $75 (124% of Medicare)
Ins. Median: $76 (126% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $24 - $96 40%
Blue Sheid Of Promise $24 40%
County Of San Diego $24 40%
Golden Physicians Medical Group $24 - $94 40%
Health Excel Ins $24 - $76 40%
Heritage Provider Netwrok $24 - $98 40%
Molina $24 - $76 40%
Traditional Medi-Cal $24 40%
UnitedHealthcare $24 - $76 40%
Health Net Of Ca $25 - $110 41%
Community Health Group $28 - $76 46%
Blue Shield Of Ca, Va $76 126%
Brand New Day $76 - $113 126%
Ca Foundation For Medical Care $76 126%
Central Health $76 126%
Choice Physicians Network $76 126%
Clever Care Of Golden State, Inc $76 126%
Managed Health Network $76 126%
Medicare (plans) $76 126%
Renal Payer Solutions $76 126%
Tricare $76 126%
Usa Senior Care Network $76 126%
Verda Health Plan $76 126%
Imperial Health Plan Of Ca $80 133%
Health Net Federal Service (Cdcr) $94 156%
Veterans Evaluation Services $94 156%
Worker Comp $99 164%
Integrated Medical Solutions $100 166%
Ca Dept Of Correction & Rehab $106 176%
Employer Direct Healthcare $106 176%
Naphcare $117 - $151 194%
Scripps Health $128 212%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals